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A double-blind, randomized, placebo-controlled, Phase I clinical study of the safety, tolerability and pharmacokinetics (PK) of ascending doses of XC7 after single and multiple oral administration in healthy volunteers. It's planned to include sequentially 2 cohorts of 4 volunteers who will receive a single dose of XC7 (100 mg and 200 mg) or placebo (cohort ratio 3:1) and 1 cohort of 8 volunteers who will receive multiple doses of the XC7 (200 mg) or placebo during 14 days (cohort ratio 6:2).
The study will be conducted in 1 centre. The study will consist of 3 periods: screening (7 days), treatment (1 or 14 days) and follow-up (7 or 28 days).
The volunteers of single dosing cohorts will receive the investigated drug (ID) ХС7 or placebo once and stay at the study center for at least 24 hours after the ID administration to monitor the safety parameters and for sampling for PK analysis. The Follow-up will last 7 days, during which safety parameters and PK in volunteers will be studied. Based on all safety data from the XC7 100 mg cohort, the Data Safety Monitoring Committee (DSMC) will consider dose increase and entry of the 200 mg cohort. If the single dose of ХС7 200 mg is considered to be safe, the third multiple dosing cohort of 200 mg will be included in the study.
The volunteers from multiple dosing cohort will receive the ID (ХС7 or placebo) once a day during 14 days and will stay at the hospital (study center) during the first five days after administration of the ID. The Follow-up will last 14 days, during which they will study safety parameters and PK in volunteers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| XC7 100 mg single | Experimental | Cohort 1 - 4 subjects will be randomized in a 3:1 ratio to be treated either XC7 100 mg (3 subjects) or placebo (1 subject, see placebo single arm) |
|
| XC7 200 mg single | Experimental | Cohort 2 - 4 subjects will be randomized in a 3:1 ratio to be treated either XC7 200 mg (3 subjects) or placebo (1 subject, see placebo single arm) |
|
| Placebo single | Placebo Comparator | Placebo comparator arm will consist of 2 subjects (1 subject from Сohorts 1 and 2) |
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| XC7 200 mg multiple | Experimental | Cohort 3 - 6 subjects will be randomized in a 6:2 ratio to be treated either XC7 200 mg (6 subjects) or placebo (1 subject, see placebo multiple arm) |
|
| Placebo multiple | Placebo Comparator | Placebo comparator arm will consist of 2 subjects from cohort 3 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| XC7 100 mg single | Drug | The volunteers will receive a single dose of the ID (1 capsule once, 100 mg) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Adverse events (AEs) per treatment arm | Adverse events will be classified according to CTCAE ver 4.03. Adverse events will be summarized descriptively by treatment arm. Verbatim terms will be mapped to preferred terms and organ systems using the current Medical Dictionary for Regulatory Activities version. | Day -7 (7 days before first dose) - Day 58 |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics of XC7 by assessing AUC0-inf | Area under the curve "concentration of the drug-time" from the time of administration of the drug till infinity. | Day 1 - Day 4 |
| Pharmacokinetics of XC7 by assessing Cmax |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Federal State Autonomous Educational Institution of Higher Education "The First Moscow State Medical University named after I.M. Sechenov" of the Ministry of Health of the Russian Federation | Moscow | 119991 | Russia |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Apr 4, 2024 | |
| Reset | Aug 30, 2024 |
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The dose cohorts cohorts will be included into the study subsequently based on preliminary safety results evaluation performed by the DSMC. 2 doses of XC7/placebo (100 mg, 200 mg) were used in the study.The duration of exposure to the ID is planned 1 day in single dosing cohorts and 14 days in multiple dosing cohort.
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Blinding was carried out by using placebo equivalent to XC7 capsules without active pharmaceutical ingredients (API) and the corresponding labeling of the ID.
| XC7 200 mg single | Drug | The volunteers will receive a single dose of the ID (2 capsules once, 100 mg each) |
|
| Placebo single | Drug | The volunteers will receive a single dose of the ID (1 or 2 capsules once) |
|
| XC7 200 mg multiple | Drug | The volunteers will receive multiple doses of the ID during 14 days (2 capsules daily, 100 mg each) |
|
| Placebo multiple | Drug | The volunteers will receive multiple doses of the ID during 14 days (2 capsules daily) |
|
Maximum plasma concentration
| Day 1 - Day 4 |
| Pharmacokinetics of XC7 by assessing AUC0-t | Area under the curve "concentration of the drug-time" from the time of administration of the drug till the time (t) the last blood sampling | Day 1 - Day 4 |
| Pharmacokinetics of XC7 by assessing Tmax | Time to maximum drug concentration in the blood plasma administration | Day 1 - Day 4 |
| Pharmacokinetics of XC7 by assessing T1/2 | Terminal elimination half-life | Day 1 - Day 4 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Apr 4, 2024 | Aug 30, 2024 |
| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D018352 | Coronavirus Infections |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D014777 | Virus Diseases |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D012847 | Single Person |
| ID | Term |
|---|---|
| D017533 | Marital Status |
| D005191 | Family Characteristics |
| D003710 | Demography |
| D011154 | Population Characteristics |
| D012959 | Socioeconomic Factors |
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